Active NPI
Soll Eye PC of PA
- Ophthalmology Physician
- Philadelphia, PA
National Provider Identifier
1285628636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- SOLL EYE PC OF PA
- Practice address
- 10160 Bustleton Ave
Suite F
Philadelphia, PA 19116-3749 - Phone
- (215) 934-7655
- Fax
- (215) 934-6278
- NPI assigned
- Aug 31, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Stephen M Soll, M.D.
- Title
- M.D.
- Phone
- (215) 288-5000
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | |||
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
10160 Bustleton Ave
Suite F
Philadelphia, PA 19116-3749
Mailing address
5001 Frankford Ave
Philadelphia, PA 19124-2619
Phone (215) 288-5000
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00053129004 | Other | PA | IBC KEYSTONE |
| 27807 | Other | PA | HEALTH PARTNERS |
| 50081 | Other | PA | AETNA HMO |
| 1027255 | Other | PA | KEYSTONE MERCY |
| 0009231760014 | Medicaid | PA | |
| 00039405 | Other | PA | HIGHMARK BS |
| 4617586 | Other | PA | AETNA PPO |
Other names 1
- SOLL EYE, NORTHEAST DIVISION
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125446400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193011200000",
"number": "1285628636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5001 FRANKFORD AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191242619",
"telephone_number": "215-288-5000",
"fax_number": "215-744-1233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10160 BUSTLETON AVE",
"address_2": "SUITE F",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191163749",
"telephone_number": "215-934-7655",
"fax_number": "215-934-6278"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOLL EYE PC OF PA",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-31",
"last_updated": "2007-10-22",
"status": "A",
"authorized_official_last_name": "SOLL",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "M.D.",
"authorized_official_telephone_number": "215-288-5000",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IBC KEYSTONE",
"identifier": "00053129004",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "27807",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "50081",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE MERCY",
"identifier": "1027255",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0009231760014",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BS",
"identifier": "00039405",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "4617586",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SOLL EYE, NORTHEAST DIVISION",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.